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Coordinated care

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3 Ohio systems create wider trauma-care network


The Cleveland Clinic.

Three major hospital  systems in northern Ohio are joining to create a trauma-care network in the region to, it is hoped, provide coordinated care.

The Northern Ohio Trauma System (NOTS), originally formed in 2010 as part of a partnership between MetroHealth System and Cleveland Clinic, has now added University Hospitals. The trauma-treatment system is meant to serve a seven-county region in northeastern Ohio, whose major city is Cleveland.

FierceHealthcare reports that “NOTS includes three Level 1 trauma centers, Cleveland Clinic Akron General Hospital, the emergency department at MetroHealth’s main campus and University Hospitals Cleveland Medical Center, which will accept the most severe patients. Pediatric patients will be sent to University Hospitals Rainbow Babies & Children’s Hospital’s pediatric trauma unit.Other patients will be sent to one of several Level 2 or Level 3 trauma centers across the three health systems.”

To read more, please hit this link.

How a hospital’s coordinated-care teams help keep post-discharge patients on track


Herewith a look at how coordinated-care teams are helping patients succeed in their post-hospital-discharge care in the face of the patients’ low health literacy and problems understanding the importance of medication adherence, especially involving multiple medications prescribed for chronically ill people.

This FierceHealthcare article looks at how the 455-bed South Nassau Communities Hospital, in Oceanside, N.Y., does post-discharge coordinated care.

Some of its tactics, as summarized by FierceHealthcare:

  • “A cardiac health program, where patients are counseled weekly for the first four weeks after discharge by specialist caregivers, including pharmacists, dietitians and nurse practitioners.
  • “A hotline number that connects patients to those caregivers if they have any questions.
  • “Similar counseling for all patients based on risk factors such as prior admissions and for psychiatric patients, who are often at risk for poor medication compliance.
  • Education about when to take–and when not to take–certain medications that could, for example, interfere with sleep.”
To read more, please hit this link.

Revolution in Mass. insurance system


Yet again, Massachusetts is  a pacesetter for health-insurance reform.

The Boston Globe reports that Blue Cross Blue Shield of Massachusetts ”will vastly expand its system that pays doctors based on how well they care for patients {aka fee for value}— not just for the number they see and volume of services they provide {aka fee for service}. The move will extend the quality-based system to more than 1 million health plan members, making it the biggest initiative of its kind in the state and probably the country.”

”The move by Blue Cross, which controls 40 percent of the state’s commercial insurance market, should hasten the decline of the way American doctors have been paid for decades, analysts said”.

The Globe elaborated: “Blue Cross will essentially pay doctors a set amount to care for their patients but payments will ultimately be tied to how well doctors and hospitals score on a variety of quality measures.

”For consumers, the change will mean more coordinated care and management, such as follow-up visits by home aides after surgery and phone calls to make sure patients take their medicine.”


More kudos for Oregon’s ‘coordinated care’


Here’s more on Oregon’s so-far successful ”coordinated care” model  for improving community health by addressing the social determinants of health that have for too long been virtually ignored in the United States.

Cambridge Management Group has recently been heavily involved in  the  coordinated-care project in Oregon, which has been seen as  a model for improving population health nationwide while controlling costs, especially of Medicaid.


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